Job Details

ID #19722161
State Illinois
City Decatur
Job type Contract
Salary USD $16 - $21.5 hr 16 - 21.5 hr
Source NTT DATA Services
Showed 2021-09-16
Date 2021-09-15
Deadline 2021-11-13
Category Et cetera
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Claims Processor

Illinois, Decatur, 62526 Decatur USA

Vacancy expired!

At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here. NTT DATA Services seeks a Claims Examiner on a project basis to work remote, from home. POSITION SUMMARY:The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division.This position is responsible for registering, processing, and adjudicating claims accurately andefficiently.PRINCIPAL DUTIES AND RESPONSIBILITIES: Process all claims for assigned group(s) within ten days of receipt. Complete forms for overspecific claims, including, but not limited to, printing EOBs,pulling claims and copying claims. Contact providers and case management company for information regarding problemclaims. Print/mail EOBs and claim forms requested by providers and insured members. Assist with audits for assigned group. Assist with claims processing and overspecific for new or backlogged groups. Obtain needed information for subrogation claims and to determine pre-existingconditions. Perform other duties as assigned.GENERAL EXPECTATIONS: Present a positive image of the company at all time. Provide and promote the delivery of services with a prevailing attitude of respect andrecognition of the personal worth and dignity of every individual whether they are acustomer, co-worker, producer or supervisor. Communicate in a clear and concise manner, while also demonstrating receptivity throughactive listening. Identify and perform work that has not been specifically assigned, as needed. Adhere to established safety standards and utilizes proper techniques to avoid workrelatedinjuries. Continuously seek opportunities for improvement and suggest ways in whichprocedures/systems may be modified to accomplish tasks/goal efficiently and effectively. Demonstrate a teamwork philosophy by working cooperatively with others inside andoutside the Administration Division. Attend required in-service and staff meetings. Preserve the confidentiality of all business-sensitive information, including but not limited tothat of insured groups and individuals, employees and applicants.SERVICE EXPECTATIONS: Greets all people in a prompt and courteous manner. Communicates in a warm andcourteous manner, making eye contact and speaking in a tone of voice that matcheswords. Ask customers what they need and strive to exceed their expectations. Offer and provideassistance whether or not the request falls within your specific job duties. Assists customers through the insurance submission/enrollment experience. Respond to customer requests in a timely manner, returning calls promptly and keepingthem informed of delays before they ask. Makes decisions based on customer needs, opinions, complaints or suggestions. Takes appropriate steps to resolve problems to the customer's or producer's satisfaction. Ask customers for their opinions, accepting criticism as an opportunity to improve service. Seek opportunities, provide value-added services, and eliminate tasks that do not serveour customer. Remain aware of products and services provided by our customer. Project a positive, professional image when working.KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS: High School Education required. 3 Years of Claims Processing Experience Experience in the GBAS Claims system is PREFERREDAbout NTT DATA ServicesNTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 118,000+ professionals in more than 50 countries, and NTT Group, a partner to 88 percent of the Fortune 100. Visit nttdataservices.com to learn more.NTT DATA, Inc. (the Company ) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

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